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Utah rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.67 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.23 / $2,729.67 / $11,594.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.07 / $2,861.46 / $5,076.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $1,356.85 / $2,186.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.20 / $32,053.62 / $46,017.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.55 / $3,535.17 / $4,900.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.13 / $2,465.51 / $3,749.73